Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 Β΅g cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... #Stimulation #Test
Antenatal Visits - Testing and Schedule
At Every Visit:	
 β€’ Gestational Age	
 β€’ BP
 β€’ Maternal Weight
β€’ HepB β€’ HIV ... Glucose Tolerance Testing ... Glucose Challenge Test ... Glucose Tolerance Test ... Amy Chung, MD, MSc
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... - Algorithm ... require Cosyntropin testing ... ) #Adrenal #Insufficiency ... #Algorithm #Diagnosis
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: β€’ ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... or low Uosm), Hypothyroidism ... , Adrenal Insufficiency ... Cerebral Salt Wasting
Active Straight Leg Raise Test (ASLR)

The ASLR tests assesses the ability to load the pelvis through
Straight Leg Raise Test ... ASLR) The ASLR tests ... Pain (PGP) Testing ... #hip #pelvis #clinical ... #physicalexam #msk
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Hamstring Flexibility Test

Hamstring flexibility testing can also be performed with the hip and knee flexed to
Hamstring Flexibility Test ... Hamstring flexibility testing ... performed with the hip ... #Flexibility #Test ... video #sports #msk
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FABER (Patrick's) Test for Hip and Sacroiliac Pathology

Patrick's or Faber Test can be performed to evaluate
FABER (Patrick's) Test ... Patrick's or Faber Test ... rotated in position, resting ... FABER #Patricks #Test ... video #sports #msk
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